Individual
DR. DANIELLA ANNE PHILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
3057 MAIN AVE, DURANGO, CO 81301-4244
(970) 247-5874
Mailing address
24B COALBANK DR, DURANGO, CO 81301-9477
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
00202801
CO
122300000X
Dentist
1856312
MA
Other
Enumeration date
09/18/2013
Last updated
11/18/2016
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